Rick Cofer Jr Dds Pa | |
5400 Crosslake Pkwy Suite 400 Waco TX 76712-6977 | |
(254) 732-0309 | |
(254) 732-0229 |
Full Name | Rick Cofer Jr Dds Pa |
---|---|
Speciality | Dentist |
Location | 5400 Crosslake Pkwy, Waco, Texas |
Authorized Official Name and Position | Rick E Cofer (DENTIST) |
Authorized Official Contact | 2547320309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rick Cofer Jr Dds Pa 5400 Crosslake Pkwy Suite 400 Waco TX 76712-6977 Ph: (254) 732-0309 | Rick Cofer Jr Dds Pa 5400 Crosslake Pkwy Suite 400 Waco TX 76712-6977 Ph: (254) 732-0309 |
NPI Number | 1528154887 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 06/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528154887 | NPI | - | NPPES |
88D951 | Other | BCBS | |
292392201 | Other | TX | TEXAS PROVIDER IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 16764 (Texas) | Primary |
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